WTC facade inspection form, 181 Duane Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 100 -Preniise Address: L Block: Residential 0 Commercial j J Name of Building: Lot: I Mix Use Otherj~r]t.ANQiwgg. . # of Stories: 5 AKA's: Building Owner/Management: Telephone Number: ( ) Name: ®~ FAX: Address: t On Site Contact: Name: ' Telephone Number: ( ) Building Owner Managemerft Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes visual inspection Kesults: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" South N/A 1Yes ❑ No No Visible/Fine-Layec- r %% to 1" East N/A fJYesDNo No Visible/Fine Layer % to 1 West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer J j YZ to 1" ❑ > 1" Description: ~,s~~p e ~,,~ ~~ ~ ~ 1P~~~., It2 14

Setbacks N/A ~J Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 3 D to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: / /2002 Inspection Team: Name: Q. rn. DanPh Agency: Dan Name: Agency: ENTERED

NYC-WTC 000130702